Organization Active NPI

TC Speech, LLC

  • Speech-Language Pathologist
  • Sarasota, FL
National Provider Identifier
1063767374
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA8912 Issued in FL
Legal business name
TC SPEECH, LLC
Practice address
4696 Country Manor Dr
Sarasota, FL 34233-1855
Phone
(941) 416-0511
Fax
(941) 921-4129
NPI assigned
Jul 24, 2012
Last updated
Jul 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Tracy Renee Clouse-Nord, SLPNPI 1528291184
Title
Speech Language Pathologist
Phone
(941) 416-0511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA8912 FL Primary

Addresses

Primary practice location

4696 Country Manor Dr
Sarasota, FL 34233-1855

Mailing address

4696 Country Manor Dr
Sarasota, FL 34233-1855
Phone (941) 416-0511

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1063767374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4696 COUNTRY MANOR DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331855",
            "telephone_number": "941-416-0511",
            "fax_number": "941-921-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4696 COUNTRY MANOR DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331855",
            "telephone_number": "941-416-0511",
            "fax_number": "941-921-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TC SPEECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "CLOUSE-NORD",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "941-416-0511",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.